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ELECTRICAL PERMIT APPI_�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />I �J��,.�:� c�71. �✓r' !/� 1"- .���/ / f7�"� <br />PROJECT ADDRESS <br />/�./ i i,`' i-"/-//.�✓ JO-J<-'� �/'�'/� '�1J. �'�.� . t � �" _��,�! [� _ • � y� r' Jp � <br />Ownet Mail Address City StatelZip Phone <br />Tenant <br />Mail Address <br />City <br />SlatelZip <br />Phone <br />� [ ii ,/- <br />�����[' i//��, i��:.'��,/ ��qa;'� '�� r'�S/v�ln/ �.^-1..�-, /��n :/,/� ��7%` `i�';''S:��3 <br />EIeCUical Contractor Maii qddress City Sta6�2ip Phone <br />� � ,, ,. <br />/-� 1 � �_ r ; � ' `l i'/ �7'�2 <br />Slale License Number <br />j �, ��+ S 1. <br />Proposed Use of BGilding <br />Descriplian of Work to Be D�ne: '��i- �,� �' ` <br />:� / :.� %.��. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />=� 3/�� <br />Cnntraci Price o( Work <br />Conlact Parson (Plan Review) <br />1 heieby certily fhat 1 have read and examined fhis application and know fhe same fo be We and <br />corrcct. All provisions o� la�vs and orAinances �ovcrmng fhis type ol �voik will be cornpleted <br />�vhelher specJied herein ornoL The granting o/a peinut Aoes not presume to give au(honty to <br />violate or r,ancel fhe provisio:u olany other state or local/a�v re9ulafing consUuclion or fhe <br />pedomtance o/conslrucfion. That I am authoiized by the o�rner ol this prapeAy to perfonn the <br />work Ior which application is made and 1 comply wilh fhe Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />/ �� /���.. % <br />,, �.; � <br />FEE <br />�i�. :�.�>" �� <br />� S�� / <br />:� <br />